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?_{___12 . D e d u c t i b l e____13 . C o p a y m e n t (}

Copay)____14.Coinsurance____15.Out-of-PocketMaximum(OOPMax)____16.Network(In-Networkvs.Out-of-Network)____17.Preauthorization(PriorAuthorization)____18.ExplanationofBenefits(EOB)____19.HealthSavingsAccount(HSA)____20.Claim____21.Exclusions____22.CatastrophicHealthPlan*ColumnC_____L.Alow-premium,high-deductibleplanforyoung,healthyindividualsorfinancialhardshipcases.____M.Servicesorconditionsnotcoveredbytheinsurancepolicy.____N.Arequestsubmittedtotheinsurerforpaymentofmedicalservices.____O.Atax-advantagedsavingsaccountformedicalexpenses,pairedwithahigh-deductiblehealthplan(HDHP).____P.Astatementfromtheinsurerdetailingwhatwascovered,denied,orpatientresponsibilityafteraclaim.____Q.Approvalrequiredfromtheinsurerbeforecertainprocedures,tests,ormedicationsarecovered.____R.Providers/doctorscontractedwiththeinsurer(lowercosts)/Providersnotcontracted(highercostsornocoverage____S.Thehighestamounttheinsuredpaysinayearbeforeinsurancecovers100%ofeligibleexpenses.____T.Apercentageofmedicalcoststheinsuredpay

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